| NPI | 1669293916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 407397) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: NY 636163) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 636163) | |
| 163WE0003X Registered Nurse Emergency (Licence: NY 636163) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: NY 636163) | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-08-09 |